Toward A NATIONAL HEALTH CARE SURVEY -- Copyright -- Acknowledgments -- Contents -- Executive Summary -- FINDINGS AND CONCLUSIONS -- NCHS Plan for a National Health Care Survey -- Design Framework for a National Health Care Data System -- Coordination and Resource Considerations -- RECOMMENDATIONS -- 1 Introduction -- PANEL'S CHARGE AND ITS APPROACH -- ORGANIZATION OF THE REPORT -- 2 Data Needs for a Changing Health Care Delivery System -- THREE CRITICAL ISSUES IN HEALTH CARE -- Costs and Expenditures -- Access to Care -- Quality of Care -- HEALTH CARE REFORM -- OTHER FACTORS INFLUENCING HEALTH CARE POLICY AND DATA NEEDS -- Demographics and Socioeconomic Factors -- Health and Disease -- Changing Values and Expectations -- Technology, Innovation, and Biomedical Advance -- Human Resources -- USERS OF HEALTH CARE DATA -- IMPLICATIONS FOR DATA SOURCES AND SYSTEMS -- 3 Review of the NCHS Plan for the National Health Care Survey -- OVERVIEW -- PERIODICITY -- SCOPE AND COVERAGE -- DATA COLLECTED -- DESIGN FEATURES -- Cluster Survey Design -- Use of NHIS Primary Sampling Units -- Definition of Primary Sampling Units -- Patient Follow-up Component -- Unresolved Issues -- Limitation of Event-based Follow-up Design -- CONCLUSION -- 4 Design for a National Health Care Data System -- STATEMENT OF OBJECTIVES -- DESIGN CONSIDERATIONS -- A FRAMEWORK FOR A NATIONAL HEALTH CARE DATA SYSTEM -- NHIS-Based Sampling of Providers -- NHIS-Based Surveying of Cohorts of Individuals -- NNHS-Based Surveying of Cohorts of Residents -- NHIS-NNHS-Based Surveying of Episodes of Illness -- Effectiveness and Efficiency -- Relation to the NHIS Redesign -- POTENTIAL BENEFITS OF THE PROPOSED DESIGN FRAMEWORK -- IMPLEMENTATION STRATEGY -- Suggested Implementation Schedule -- Phase I: 1992-1995 -- Phase II: 1995 -- Phase III: 1994-1997 -- Phase IV: 1997-2000.

5 Coordination and Resource Considerations -- ADVISORY STRUCTURE FOR THE NATIONAL HEALTH CARE DATA SYSTEM -- IMPROVING DEPARTMENTAL COORDINATION -- ENHANCING THE CENTER'S ANALYTIC CAPABILITY -- RESOURCE REQUIREMENTS -- APPENDIX A The NCHS Plan for a National Health Care Survey -- THE NATIONAL HEALTH CARE SURVEY -- EXECUTIVE SUMMARY -- TABLE OF CONTENTS -- I. BACKGROUND -- A. Dynamics of the Health Care Delivery System -- B. Impact on the Health Care Delivery System -- C. NCHS Data Systems -- D. Implications for Health Care Data -- II. A NATIONAL HEALTH CARE SURVEY -- A. Components -- B. Coverage -- C. Content -- D. Features -- E. Flexibility -- F. Integrated Survey Design -- G. Current Status and Schedule -- Ambulatory Care -- Hospital and Surgical Care -- Long-Term Care -- Health Provider Inventory -- Patient Follow-up -- APPENDIX B Survey of Users of National Health Care Statistics -- INTRODUCTION -- METHOD OF DATA COLLECTION -- FINDINGS -- Uses of Existing NCHS Provider Surveys -- Problems Encountered With the Data -- National Hospital Discharge Survey -- National Ambulatory Medical Care Survey -- National Nursing Home Survey -- National Master Facility Inventory -- Looking Ahead to the National Health Care Survey -- APPENDIX C Federal Health Data Sources -- EVOLUTION OF FEDERAL HEALTH STATISTICS -- The National Health Survey Act -- CURRENT DATA SOURCES -- National Center for Health Statistics -- National Health Interview Survey -- National Health and Nutrition Examination Survey -- Health Records Survey Program -- Other Related Health Surveys of the Department of Health and Human Services -- Centers for Disease Control -- Agency for Health Care Policy and Research -- Agency for Alcohol, Drug Abuse, and Mental Health Administration -- Health Care Financing Administration -- CONCLUSION -- APPENDIX D Statutory Authorities.

APPENDIX II NATIONAL HEALTH SURVEY ACT -- AN ACT -- "NATIONAL HEALTH SURVEYS AND STUDIES -- EXCERPTS FROM THE PUBLIC HEALTH SERVICE ACT -- General authority respecting research, evaluations, and demonstrations in health statistics, health care technology ... -- National Center for Health Statistics -- International cooperation -- General provisions respecting effectiveness, efficiency, and quality of health services -- Related authorities outside the Public Health Service Act: -- APPENDIX E Acronyms -- APPENDIX F Biographical Sketches -- Sources and References.